Pre-participation Vision Screening and Comprehensive Eye Care in National Collegiate Athletic Association Athletes
Pre-participation Vision Screening and Comprehensive Eye Care in National Collegiate Athletic Association Athletes
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国家大学体育协会运动员参赛前视力筛查和综合眼部护理
DOI：
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发表时间：
2021
影响因子：
1.4
通讯作者：
M. Swanson
中科院分区：
文献类型：
--
作者：
Katherine K. Weise;Sarah J. Galt;M. Hale;Daniel B. Springer;M. Swanson
几十年来，意义、参赛前体能评估及其视力筛查一直是竞技比赛的医学许可的支柱。目前尚不清楚筛查是否能够满足运动员特定的视觉需求。方法58名校际足球运动员同意在标准的参赛前视力筛查的基础上，参加一项全面的、针对运动的眼科检查。确定了筛查的灵敏度、特异度以及阳性和阴性预测值，以检测视力可能通过矫正改善的运动员、有影响安全性的重大眼部发现的运动员以及这两种情况中的任何一种。对参与前视力筛查结果中没有最近的视力检查的影响进行了评估，以确定筛查率的变化。产生了队列的描述性统计数据以及与最近没有进行全面眼睛检查的相关性。结果参赛前视力筛查能够在没有进行全面评估的情况下识别出3名不符合视力要求的运动员参加比赛。失败的筛查很难确定哪些运动员可能受益于提高的敏感度(敏感度，9.1%；特异度，100%)，有特定运动项目的显著眼部发现(敏感度，10.5%；特异度，97.3%)，或者两者兼有(敏感度，7.5%；特异度，100%)。60%(33/55)的运动员报告从未进行过全面检查或在过去10年内进行过一次检查。58%(34/58)的人在综合检查后最佳矫正视力有所提高，81%(47/58)的人有提高的视力或特定于运动的显著发现。结论参赛前视力筛查基本能够识别出符合运动员出线最低视力要求的运动员。它没有很好地识别那些可能受益于屈光矫正改善视力的人，以及那些注意到特定运动的显着眼部发现的人。全面的眼睛护理对大多数接受测试的运动员有明显的好处。这一好处需要与球员和体育部门工作人员可能增加的成本和时间限制相平衡。
SIGNIFICANCE Pre-participation physical evaluation and its vision screenings have been the mainstay of medical clearance for competitive play for decades. The ability of screening to address athlete's sports-specific vision needs is unknown. METHODS Fifty-eight intercollegiate football players consented to participate in a comprehensive, sports-specific eye examination in addition to the standard pre-participation vision screening. Sensitivity, specificity, and positive and negative predictive values were determined for screening's ability to detect athletes whose vision might improve with correction, athletes who had significant ocular findings that impact safety, and either of the two conditions together. The effect no recent eye examination added to pre-participation vision screening results was evaluated for change in screening yield. Descriptive statistics of the cohort and associations with no recent comprehensive eye examination were generated. RESULTS The pre-participation vision screening was able to identify three athletes not meeting visual acuity requirements for medical clearance to play without a comprehensive assessment. A failed screening was poorly able to identify athletes who might benefit from improved acuity (sensitivity, 9.1%; specificity, 100%), have sports-specific significant ocular findings (sensitivity, 10.5%; specificity, 97.3%), or have either together (sensitivity, 7.5%; specificity, 100%). Sixty percent (33/55) of athletes reported never having a comprehensive examination or one within the last 10 years. Fifty-eight percent (34/58) had improved best-corrected visual acuity after comprehensive examination, and 81% (47/58) had improved acuity or a sports-specific significant finding. CONCLUSIONS The pre-participation vision screening was largely able to identify athletes meeting the minimum visual acuity requirement for athlete clearance. It poorly identified those who might benefit from improved vision with refractive correction and those in whom sport-specific significant eye findings were noted. Comprehensive eye care had a clear benefit for the majority of athletes tested. This benefit needs to be balanced with the potential added costs and time constraints to players and athletic department staff.
脑震荡儿童的学业困难和视力症状。
DOI：
10.1097/opx.0000000000000977
发表时间：
2017
期刊：
Optometry and vision science : official publication of the American Academy of Optometry
影响因子：
--
作者：
Swanson,MarkW;Weise,KatherineK;Dreer,LauraE;Johnston,James;Davis,RichardD;Ferguson,Drew;Hale,MatthewHeath;Gould,SaraJ;Christy,JenniferB;Busettini,Claudio;Lee,SarahD;Swanson,Erin
通讯作者：
Swanson,Erin
King-Devick 和青少年运动员季前视觉功能。
DOI：
10.1097/opx.0000000000000938
发表时间：
2017
期刊：
Optometry and vision science : official publication of the American Academy of Optometry
影响因子：
--
作者：
Weise,KatherineK;Swanson,MarkW;Penix,Kimberly;Hale,MatthewHeath;Ferguson,Drew
通讯作者：
Ferguson,Drew
影响因子：
4.4
作者：
Dong, Li Ming;Fazzari, Melissa;Zhang, Qinghua
通讯作者：
Zhang, Qinghua